Subcutaneous Direct-to-Implant Breast Reconstruction

Abstract

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Subcutaneous Implant-based Breast Reconstruction with Acellular Dermal Matrix/Mesh: A Systematic Review

“…27 Pooling data from all studies resulted in a total of 120 patients and 186 reconstructions. The longest mean and median follow-up times were 24 and 25 months, respectively, with a range of 1–55 months when cited.…”

“…Out of the studies that reported inclusion criteria, 60% did not cite the quality of mastectomy flaps as a consideration in determining the plane of implant placement. 25,27,34 Of the 2 studies that utilized mastectomy flap perfusion as inclusion criteria, one study only performed clinical assessment 26 and the other utilized indocyanine green angiography and clinical assessment. 30 Exclusion criteria encompassed various patient demographics and characteristics that would preclude the decision to pursue subcutaneous reconstruction.…”

“…24–26 Proponents advocate that this technique provides a more natural esthetic result while avoiding the negative sequelae of pectoralis disinsertion and submuscular implant positioning. 27,28 Although the early experience with subcutaneous reconstruction was associated with higher rates of CC, implant exposure, and implant loss, 12,29 advances in mastectomy techniques and the use of ADM and synthetic mesh have been suggested to decrease the risk of these complications. 28,30 …”

Biological and Synthetic Materials in Reconstructive Surgery for Breast Cancer Treatment (Literature Review)

“…Авторы исследова-ний оценивали косметические результаты реконструк-ции, частоту послеоперационных осложнений, стои-мость имплантатов, эффект проведенной ЛТ. В большинстве исследований сообщается о хороших косметических результатах [16][17][18][19][20][21][22][23][24] при применении данной методики. В частности, в публикации A. J. Vardanian и соавт.…”

“…В одном из исследований [19] проведен анализ кос-метических результатов данных операций по мнению самих пациенток. В 2 наблюдениях (4,3 %) определя-лись контуры имплантата («видимый имплантат»), ро-тации имплантата не было ни в одном случае, пальпа-ция имплантата отмечалась в большинстве конечных результатов (8,5 %).…”